<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Reservation Form - Cancun In June - Royalton Chic - All Inclusive -"/> <field type="paragraph" subtype="p" label="Submitting information via this reservation form DOES NOT automatically confirm your reservation, or charge your credit card. Preferred Destinations Travel will email you a confirmation of your reservation and payment invoice after a payment has been processed. Please enter your legal name(s) EXACTLY as it appears on your valid passport. Preferred Destinations Travel is not liable if the information below is not entered correctly. It is your responsibility to review the invoice upon receipt to ensure 100% accuracy. Please check thoroughly for any discrepancies or errors. Preferred Destinations Travel is NOT responsible for errors, or any fees associated with necessary changes after 24 hours of receipt.&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" label="Text Field" name="text-1700617632183" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary&nbsp; Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthdate" name="birthdate" className="form-control"/> <field type="header" subtype="h2" label="Passport Info"/> <field type="radio-group" required="true" label="This trip requires a PassPort.&nbsp; Do you have a current Passport?" name="do-you-have-a-current-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Application In Process" value="application-in-process">Application In Process</option> </field> <field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="radio-group" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" required="true" label="Airline Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="radio-group" required="true" label="Airline Cabin Preference" name="airline-cabin-preference"> <option label="Business/First" value="businessfirst">Business/First</option> <option label="Economy Plus" value="economy-plus">Economy Plus</option> <option label="Economy" value="economy">Economy</option> <option label="Basic Economy" value="basic-economy">Basic Economy</option> </field> <field type="radio-group" required="true" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="header" subtype="h1" label="Hotel Accommodations"/> <field type="text" label="June 10-15, 2025&nbsp; -&nbsp; &nbsp;Cancun In June - Royalton Chic - All Inclusive&nbsp;" name="hotel-option-1-bahia-principe-luxury-runaway-bay-resort-adults-only-" value="Deposit per person $195.00 payable upon submission of registration form. Balance paid by April 12 2025" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="undefined" name="march-1015-2023"> <option label="Luxury Junior Suite Sunset View All Inclusive - starting from $2089 per person (Double Occupancy)" value="luxury-junior-suite-sunset-view-all-inclusive-starting-from-2089-per-person-double-occupancy">Luxury Junior Suite Sunset View All Inclusive - starting from $2089 per person (Double Occupancy)</option> <option label="Luxury Junior Suite Ocean Front All Inclusive - starting from $2289 per person (Double Occupancy)" value="luxury-junior-suite-ocean-front-all-inclusive-starting-from-2289-per-person-double-occupancy">Luxury Junior Suite Ocean Front All Inclusive - starting from $2289 per person (Double Occupancy)</option> <option label=" Choosing Single Below" value="-choosing-single-below"> Choosing Single Below</option> </field> <field type="radio-group" required="true" label="undefined" name="march-1017-2023-"> <option label="Luxury Junior Suite Sunset View All Inclusive - starting from $2699 per person (Single Occupancy)" value="luxury-junior-suite-sunset-view-all-inclusive-starting-from-2699-per-person-single-occupancy">Luxury Junior Suite Sunset View All Inclusive - starting from $2699 per person (Single Occupancy)</option> <option label="Luxury Junior Suite Ocean View All Inclusive - starting from $2899 per person (Single Occupancy)" value="luxury-junior-suite-ocean-view-all-inclusive-starting-from-2899-per-person-single-occupancy">Luxury Junior Suite Ocean View All Inclusive - starting from $2899 per person (Single Occupancy)</option> <option label="Choosing Double Occupancy Above" value="choosing-double-occupancy-above">Choosing Double Occupancy Above</option> </field> <field type="header" subtype="h1" label="Additional Options"/> <field type="radio-group" label="Travel Protection" name="travel-protection"> <option label="I ACCEPT Travel Protection for $110.00 per person" value="i-accept-travel-protection-for-11000-per-person">I ACCEPT Travel Protection for $110.00 per person</option> <option label="I DECLINE Travel Protection" value="i-decline-travel-protection">I DECLINE Travel Protection</option> </field> <field type="textarea" label="About Declining Travel Protection" placeholder="I understand that my trip will not be covered with travel protection insurance and that I am responsible for any monetary occurrences relevant to my booking. I understand that this could result in the loss of ALL of my travel costs. (Applies to all Travelers in the room) Based on per person. It is important to note that Preferred Destinations Travel holds no monetary liability for any such occurrences. Each traveler in the room is individually responsible and these conditions are applied on a per-person basis. By proceeding with this booking I fully acknowledge and accept these terms." name="about-declining-travel-protection" className="form-control"/> <field type="header" subtype="h1" label="Payment"/> <field type="radio-group" required="true" label="Options" name="options"> <option label="Option 1 : Pay in Full " value="option-1-pay-in-full-">Option 1 : Pay in Full </option> <option label="Option 2: Monthly Payment Plan with Final Payment April 12, 2025" value="option-2-monthly-payment-plan-with-final-payment-april-12-2025">Option 2: Monthly Payment Plan with Final Payment April 12, 2025</option> <option label="Option 3: Bi-Weekly Payment Plan with Final Payment April 12, 2025" value="option-3-biweekly-payment-plan-with-final-payment-april-12-2025">Option 3: Bi-Weekly Payment Plan with Final Payment April 12, 2025</option> </field> <field type="header" subtype="h1" label="Who Are You Rooming With?"/> <field type="text" label="Please complete the name information for the person that will share your room." name="please-complete-the-name-information-for-the-person-that-will-share-your-room" value="This will assist me when booking your room reservation and applying payment information correctly." subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Room-Mate's Name"/> <field type="text" required="true" label="Room-Mate's Name&nbsp; (if no room-mate type N/A)" name="room-mates-name" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Room-Mate's Email Information"/> <field type="text" required="true" label="If room-mate will pay their own trip costs, please provide the room-mate's email address. (if no room-mate type N/A)" name="if-roommate-will-pay-their-own-trip-costs-please-provide-the-roommates-email-address-if-no-roommate-type-na" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Do You Have A Promo Code?"/> <field type="text" label="&nbsp;Add Promo Code Here" name="-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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